Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08588 | Date 24/07/2020 |
| Token No | SM/19-20/24788 06/08/2020 | Serial | 063 Last Visit: 19/08/2020 |
| Patient Name | Mrs. BAISAKHI MANNA | Contact No | 9836039043 |
| Address | 78 N.S AVENUE SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||